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Is hypertriglyceridemia atherogenic?

François Roubille1, Ariane Sultan2, Fabien Huet1

  • 1Montpellier University Hospital, UFR de Médecine, Université Montpellier 1, Department of Cardiology, 371, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France; Université de Montpellier, PhyMedExp, Inserm, CNRS, 34000 Montpellier, France.

Presse Medicale (Paris, France : 1983)
|September 29, 2018
PubMed
Summary
This summary is machine-generated.

Triglycerides (TG) were once thought to be bystanders in cardiovascular disease (CVD). New research shows TG-rich lipoproteins play a causal role in CVD, suggesting new prevention strategies.

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Area of Science:

  • Cardiology
  • Metabolic Disorders
  • Lipid Metabolism

Background:

  • Atherosclerotic cardiovascular disease (ASCVD) reduction strategies primarily focus on low-density lipoprotein (LDL) reduction, mainly via statins.
  • Highly elevated triglycerides (TG) pose risks, including pancreatitis, and are linked to metabolic disorders, diabetes, alcohol consumption, and obesity.
  • Genetic factors contribute to severe cases of elevated TG.

Purpose of the Study:

  • To evaluate the role of triglycerides (TG) in the pathophysiology of cardiovascular diseases (CVD).
  • To explore emerging evidence supporting a causal link between TG and CVD.
  • To identify new therapeutic targets for cardiovascular risk management.

Main Methods:

  • Review of biological and basic research on TG-rich lipoproteins.
  • Analysis of recent epidemiological studies on TG and CVD.
  • Examination of genetic studies implicating TG in cardiovascular risk.

Main Results:

  • Biological and basic research indicate TG-rich lipoproteins are involved in CVD pathophysiology.
  • Epidemiological and genetic studies provide strong evidence for a causal role of TG in CVD.
  • TG are no longer considered mere bystanders in cardiovascular risk.

Conclusions:

  • Emerging evidence strongly supports a causal role for triglycerides in cardiovascular disease.
  • New approaches for patient management in primary and secondary CVD prevention are warranted.
  • Understanding TG's role opens avenues for novel therapeutic strategies in cardiovascular health.